A rare case of asymptomatic Leptospirosisneuroretinitis

Authors

  • Mohd Radzniwan Rashid Family medicine unit, Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Bandar Baru Nilai, 71800 Negeri Sembilan, Malaysia
  • Fathima Begum Syed Mohideen Family medicine unit, Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Bandar Baru Nilai, 71800 Negeri Sembilan, Malaysia
  • Sharifah Najwa Syed Mohamad Family medicine unit, Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Bandar Baru Nilai, 71800 Negeri Sembilan, Malaysia
  • Maimunah Abdul Muna’aim Ophthalmology unit, Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Bandar Baru Nilai, 71800 Negeri Sembilan, Malaysia
  • Nor Azita Ahmad Tarmidzi Ophthalmology department, Hospital Kuala Lumpur, 50586 Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.3329/bjms.v22i1.63082

Keywords:

Leptospirosis; Neuroretinitis; Macular star; uveitis

Abstract

Leptospirosis is an endemic disease worldwide and its incidence is increasing with outbreaks and mortality. It is caused by Leptospires interrogans which are very thin, spiral-shaped, tightly coiled, gram-negative aerobic, spirochetes. It can cause several infection to human including organs such as the kidneys, liver, lungs, heart and the central nervous system. The organism can give rise to several ocular manifestations and when it affect the eyes, it causes Leptospirosisneuroretinitis. The present case illustrated a case of 9 year-old boy succumbed with leptospirosis infection presenting as neuroretinitis. The unique of the case is that the boy had noobvious systemic manifestation of leptospirosis which caused a challenge to a physician to arrive at the diagnosis. Other important differentials hadbe entertained namely toxoplasmosis and ocular tuberculosis. Further management had been discussed until the boy was discharged and being followed up as an outpatient. This is followed by the discussion on leptospirosis neuroretinitis.

Bangladesh Journal of Medical Science Vol. 22 No. 01 January’23 Page : 225-228

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Published

2023-01-01

How to Cite

Rashid, M. R., Syed Mohideen, F. B. ., Syed Mohamad, S. N., Muna’aim, M. A. ., & Ahmad Tarmidzi, N. A. . (2023). A rare case of asymptomatic Leptospirosisneuroretinitis. Bangladesh Journal of Medical Science, 22(1), 225–228. https://doi.org/10.3329/bjms.v22i1.63082

Issue

Vol. 22 No. 1 (2023)

Section

Case Reports

License

Copyright (c) 2022 Mohd Radzniwan Rashid, Fathima Begum Syed Mohideen, Sharifah Najwa Syed Mohamad, Maimunah Abdul Muna’aim, Nor Azita Ahmad Tarmidzi

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